Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.16 / $158.86 / $203.88	Facility		$140.16	$158.86	$203.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.41 / $168.70 / $233.32	Professional		$99.41	$168.70	$233.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.88 / $203.88 / $203.88	Professional		$203.88	$203.88	$203.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $160.12 / $177.91 / $193.05	Professional		$160.12	$177.91	$193.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.89 / $203.88 / $237.86	Professional		$186.89	$203.88	$237.86
United Facility/Professional Professional Modifier Low / Median / High Price $183.60 / $254.85 / $254.85	Professional		$183.60	$254.85	$254.85
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $141.93 / $225.80 / $315.66	Professional		$141.93	$225.80	$315.66